ADMINISTRATION OF INTRADERMAL INJECTION
M.IMMACULATE NANCY,B.SC (N)
NURSING TUTOR
KVCN
DEFINITION
Administration of injection into the dermis layer of the
skin.
PURPOSES
1. Used for testing procedures such as tuberculin screening and allergy
test.
2. Testing antibody formation.
3. Intradermal injection may also be given like vaccination.
SITES OF INTRADERMAL INJECTION
1. Anterior aspect of forearm
2. Upper chest
3. Upper back
INDICATIONS
Diagnostic indication Therapeutic indication
Identify skin allergy to any drugs. Administration of local anesthesia prior to
invasive procedures.
Intradermally allergic test
Tuberculin skin test/ montoux test
Xylocaine sensitivity test
CONTRAINDICATIONS
Active infection near the site of injection ( allergy/hypersensitivity).
NURSING ASSESSMENT
1. Assess for patient for history of drug allergy.
2. Assess the best site for intradermal injection.
EQUIPMENTS
A injection tray containing,
1. Tuberculin syringe 1ml
2. Needle (25-27 gauze)
3. Antiseptic/ alcohol swab
4. Medication ampule or vial
5. Medication card
6. Disposable gloves
7. Kidney tray/paper bag
8. Bowl with cotton
PROCEDURE
Check the doctors order.
Explain the Procedure to the patient.
Wash hands .
Read the medication card and take the necessary medication.
Check the name , dose,and frequency of medication against the doctors order sheet and medication
card.
Check and verify in the nurses record when the last dose of medications was administer and follow 10
Rights.
Load the medicine In the syringe
Assemble all equipments near the patient bed side.
Provide privacy.
Position the patient and expose the area.
Identify the correct site.
Wear gloves and Clean the skin with antiseptic swab in rotary movement.
Hold the swab between 3rd and 4th finger of nondominant hand.
Expel the air hold the syringe at 5-15° angle with the bevel facing up.
Stretch the skin tightly and insert the needle at 15° angle , about 1/8 Inch with the entire bevel inside
the skin.
Slowly inject the Medicine watching for a small wheel or bleb to appear.
Keep the cotton over the punctured site and withdraw the syringe in the same angle.
Do not massage the area, if needed gently dab the area with dry cotton without pressure.
Mark the area of bleb formed over the skin including date,time of administration,name and amount
of medication.
Reposition the patient comfortably.
Replace the articles and wash hands.
Document the procedure.
1. Record the date, time, name and amount of drug administered over the patient skin, on the
medication chart, and in nurses record as per policy.
2. Record site of Intradermally injection and appearance of skin in nurses notes.
3. Report any undesirable effects from medication to the patient.
GOLDEN RULES
1. Angle 10-15° degree.
2. Needle gauze (25-27G).
3. Spread the skin tightly.
4. Do not rub or massage the site after medication administration.
5. Watch for bleb or in duration.
6. Bevel should face upwards
7. Follow 10 rights.
SAMPLE DOCUMENTATION
Test dose of inj.cefriazone 0.1 ml administered Intradermally.
Bleb has formed. Marked the area of induration. Informed the
patient not to rub or massage the site of injection and report to
any inflammation or tenderness to the nurse in cahrge.
